Neurology for primary Care

Question 1

A CSF lab result of glucose of 35 is indicative of

Answer 1

CSF infection

Question 2

Of the 4 types of stroke which one is the most common and has a gradual onset?

Answer 2

Thrombotic

Question 3

Leading cause of bacterial meningitis ?

Answer 3

Streptococcus pneumonia

Question 4

What is the first sign of Parkinson’s disease

Answer 4

Rest tremor

Question 5

Which test is specific of Myasthenia Gravis

Answer 5

Serum acetic hotline receptor antibody

Question 6

Types of stokes

Answer 6

Ischemic

Hemorrhagic

Question 7

Cardiac sources for an emboli

Answer 7

A fib
Mitral valve disease
Post Mi thrombi
Atrial defects

Question 8

Client has a trike what is done first when presenting to the ER.

Answer 8

No contrast CT
ECG
CBC
Cardiac Enzymes and troponin
PT and INR
PTT
O2
Lipid profile

Question 9

What are stroke treatments to decrease the brain tissue infarction

Answer 9

IV thrombolitics
Neuroprotection: hypothermia
Antithrombic treatment
Medical support and rehab

Question 10

Cerebral sculpt sources for Emboli

Answer 10

Ulcerated plaque from a cerebral artery
Atherosclerosis  near the carotid artery
Hypotension
Sickle cell
Polycythemia

Question 11

What Is contralateral homonymous hemianopsia:

Answer 11

Loss of half of the vision on the same side in both eyes.

Seen in a stroke and tram attic head injury.

Question 12

Which drug used for Parkinsonism mimics dopamine?

Answer 12

Bromocriptine

Question 13

Ways to prevent a stroke

Answer 13

Statin Therapy
Antiplatelet therapy
ASA 325
Warfarin in selected pts.

Question 14

Define hemianopsia

Answer 14

Decrease vision in half the visual field.

Question 15

What is the most sensitive indicator of Increased intracranial pressure and the first symptom to change as pressure rises.

Answer 15

Altered mental status

Question 16

Which type of meningitis is a benign, self limited syndrome caused primary by viruses?

Answer 16

Aseptic

Question 17

Which prognosis is better a cerebral infarct or subarachnoid hemorrhage.

Answer 17

Infarct

Question 18

Define cry of which nutritional source leads to paresthesias of the hands and feet that are usually painful?

Answer 18

B12

Question 19

Infarct stroke is

Answer 19

Thrombotic

Embolic

Question 20

LOC with a cerebral infarct is predictive of what?

Answer 20

Poorer prognosis

Question 21

What are the parts of the Stroke Scale

Answer 21

Facial droop
Arm drift
Speech

Question 22

A client that is 52 and presents with rapidly progressive weakness of her legs that is moving up her trunk. Has absent reflexes and no sensory changes
What do you suspect?

Answer 22

Guillain- Barre syndrome

Question 23

Two type of stroke

Answer 23

Thrombotic

Embolic

Question 24

Risk Factors for Stroke

Answer 24

HTN, Hx of TIA, carotid stenosis, cardiac disease, DM, dyslipidemia, smoking,hypercoaguable states.

Question 25

Main the treatment for a stroke is to do what?

Answer 25

Decrease or reverse the amount of brain tissue infarction.

Question 26

What are some of the hypercoagulable disorders to test for when a person has a stroke.

Answer 26

Factor V Leiden Protein C, S, Antithrobim Prothrombin gene mutations

Question 27

Which following cardiac drugs is used to treat Migraine H/A

Answer 27

Beta Blockers

Question 28

Hypercoagualble states that can lead to a emboli

Answer 28

Oral contraceptives Protein C,S deficiency Antithrombin III TTP

Question 29

Major signs and symptoms of a stroke?

Answer 29

``` Hemiparesis and sensory loss Hemineglect Expressive or receptive aphasia Dysarthria Contra lateral homonymous hemianopsia ```

Question 30

Stroke is gradual or abrupt?

Answer 30

About

Question 31

What are a differential diagnosis for a stroke

Answer 31

Hypoglycemia TIA Mass lesion Intercept rail hemorrhage

Question 32

What are some s/s that can lead to a stroke diagnosis

Answer 32

Sudden onset of a neurological onset HX of high B/P, valvular heart disease, athrosclerosis Dissenting neuro signs related to region of the brain involved.

Question 33

You place a key in a persons hand and have them close their eyes and identify the object is called.

Answer 33

Stereo gnosis

Question 34

Define agraphesthesia:

Answer 34

Inability to recognize writing on the skin.

Question 35

Should you give a CT of the head in a suspected stroke before you give ASA

Answer 35

Yes

Question 36

Goals of neuro imaging

Answer 36

Evidence of vascular origin Alternative non ischemic sign Underlying vascular mechanism hat allows for selection of best therapy. Prognostic outcomes

Question 37

Mess that lower seizure threshold

Answer 37

``` Quinolone so Cephalosporins Antipsychotics Wellbutrin TCAs Fentanyl/Demerol Cocaine Amphetamines Theophylline ```